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Concomitance acute cerebral infarction and remote intra-cerebral hemorrhaging on arrival
Takashi Iso, Youichi Yanagawa, Ikuto Takeuchi, Satoru SuwaJournal of Emergencies, Trauma, and Shock 2018 11(2):149-150 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2018 Category: Emergency Medicine Authors: Takashi Iso Youichi Yanagawa Ikuto Takeuchi Satoru Suwa Source Type: research

Inferior vena cava obstruction and shock
Megri Mohammed, Shaheed Elhamdani, Waiel Abusnina, Aldliw Majdi, Shweihat YousefJournal of Emergencies, Trauma, and Shock 2018 11(2):146-148 Shock is one of the most challenging life-threatening conditions with high mortality and morbidity; the outcomes are highly dependent on the early detection and management of the condition. Septic shock is the most common type of shock in the Intensive Care Unit. While not as common as other subsets of shock, obstructive shock is a significant subtype due to well defined mechanical and pathological causes, including tension pneumothorax, massive pulmonary embolism, and cardiac tampon...
Source: Journal of Emergencies, Trauma and Shock - May 29, 2018 Category: Emergency Medicine Authors: Megri Mohammed Shaheed Elhamdani Waiel Abusnina Aldliw Majdi Shweihat Yousef Source Type: research

Acute appendicitis as an unexpected cause of inverted takotsubo cardiomyopathy
We present here a 42-year-old man with an inverted Takotsubo variant with pulmonary edema and transient accelerated idioventricular rhythm. He was initially admitted in the Emergency Department for acute and non-complicated appendicitis. Coronary angiogram showed normal coronary arteries and left ventriculography revealed a reverse variant of TTC. The patient had completely recovered. Myocarditis was ruled out by cardiac magnetic resonance imaging. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2018 Category: Emergency Medicine Authors: Mihaela Mihalcea-Danciu Michel Zupan Pierrick Le Borgne Pascal Bilbault Source Type: research

Amitraz poisoning: The (Un) common poisoning
William Wilson, Shakuntala MurtyJournal of Emergencies, Trauma, and Shock 2018 11(2):140-142 Pesticide poisoning is always a clinical conundrum for the emergency physician (EP), the complexity of which increases when the pesticide has no antidote! Over the past decade, there has been a sharp increase in cases of Amitraz poisoning, a pesticide routinely used in veterinary medicine, available without a prescription. The usual presentation includes bradycardia, hypotension, poor sensorium, and miosis. In the absence of accurate history, these clinical features can be confused with the cholinergic toxidrome of organophosphoru...
Source: Journal of Emergencies, Trauma and Shock - May 29, 2018 Category: Emergency Medicine Authors: William Wilson Shakuntala Murty Source Type: research

Measurement of a novel biomarker, secretory phospholipase A2 group IIA as a marker of sepsis: A pilot study
Conclusions: sPLA2-IIA shows potential as a biomarker distinguishing sepsis from other disease entities. Further study is warranted to identify predictive value of trends in sPLA-IIA during disease course in septic patients. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2018 Category: Emergency Medicine Authors: Elena Berg Janel Paukovits Jennifer Axelband Jonathan Trager Dina Ryan Kathleen Cichonski Mark Kopnitsky Daniel Zweitzig Rebecca Jeanmonod Source Type: research

True costs of medical clearance: Accuracy and disagreement between psychiatry and emergency medicine providers
Conclusion: Further education on the financial costs of medical clearance is needed to inform workup decisions and consensus between emergency and psychiatric providers. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2018 Category: Emergency Medicine Authors: Laura N Medford-Davis Nidal Moukaddam Anu Matorin Asim Shah Veronica Tucci Source Type: research

Bedside lung ultrasound in emergency protocol as a diagnostic tool in patients of acute respiratory distress presenting to emergency department
Conclusion: BLUE protocol was successful in average 90.316% cases. BLUE performed in emergency department is equivalent to computed tomography scan. BLUE protocol aids in making diagnosis and saves time and cost; avoids the side effects related to radiation. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2018 Category: Emergency Medicine Authors: Chirag J Patel Hardik B Bhatt Samira N Parikh Binit N Jhaveri Jyothi H Puranik Source Type: research

Snakebites in lebanon: a descriptive study of snakebite victims treated at a tertiary care center in Beirut, Lebanon
Conclusion: Victims of snakebites in Lebanon developed local, systemic, hematologic, or neurologic manifestations. Complications from snakebites were frequent despite antivenom administration. Larger studies are needed to assess the efficacy of available antivenom and to possibly create a local antivenom for the treatment of snakebites in Lebanon. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2018 Category: Emergency Medicine Authors: Tharwat El Zahran Ziad Kazzi Ahel Al-Hajj Chehadeh Riyad Sadek Mazen J El Sayed Source Type: research

Comparison of ultrasound and plain radiography for the detection of long-bone fractures
Conclusion: EM residents were better able to identify fractures using US compared to X-ray, especially as level of US and ED experience increased. These results encourage the use of US for the assessment of isolated extremity injury, particularly when the injury is diaphyseal. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2018 Category: Emergency Medicine Authors: Amit Bahl Michael Bagan Steven Joseph Abigail Brackney Source Type: research

Validation of the cincinnati prehospital stroke scale
Conclusion: As a prehospital screening tool, CPSS can be extremely useful as any diagnosis is only provisional until confirmed by an appropriate investigation in a hospital. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2018 Category: Emergency Medicine Authors: Aditya Maddali Farook Abdul Razack Srihari Cattamanchi Trichur V Ramakrishnan Source Type: research

Validation of predicting hyperglycemic crisis death score: A risk stratification tool for appropriate disposition of hyperglycemic crisis patients from the emergency department
Conclusion: In adult patients with hyperglycemic crisis, PHD score is validated as a straightforward, prompt tool for predicting 30-day mortality and aids in disposition. The mortality rate in the PHD score Model II was similar to the physician's clinical decision. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2018 Category: Emergency Medicine Authors: Akilan Elangovan Srihari Cattamanchi Abdul Razack Farook Ramakrishnan Venkatakrishnan Trichur Source Type: research

A pilot study of viscoelastic monitoring in pediatric trauma: Outcomes and lessons learned
Conclusions: Viscoelastic monitoring was infrequently performed, but utilized in more severely injured patients. Well-designed prospective studies in patients at high risk of coagulopathy are needed to evaluate goal-directed hemostatic resuscitation strategies in children. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2018 Category: Emergency Medicine Authors: Bola Aladegbami Pamela M Choi Martin S Keller Adam M Vogel Source Type: research

Integration of point-of-care ultrasound during rapid sequence intubation in trauma resuscitation
Conclusion: Integration of POCUS was useful in all three phases of RSI. It identified paratracheal hematoma, tracheal injury, and pneumothorax. It also identified esophageal intubation and confirmed main stem tracheal intubation in less time compared to five-point auscultation and capnography. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2018 Category: Emergency Medicine Authors: Prakash Ranjan Mishra Sanjeev Bhoi Tej Prakash Sinha Source Type: research

Utility of abdominal computed tomography in geriatric patients on warfarin with a fall from standing
Conclusions: A small percentage of elderly fall patients on Warfarin have a significant abdominal injury. Anticoagulated geriatric patients are sometimes subjected to abdominal scans liberally without supporting physical examination findings such as abdominal tenderness or presence of a distracting injury. Specifically, the utility of abdominal CT is questionable in isolated head injury patients. Further, taking Warfarin or other anticoagulant medications do not seem to increase the risk of intraabdominal injury. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2018 Category: Emergency Medicine Authors: Amit Bahl Steven Schafer Source Type: research

Guiding management in severe trauma: Reviewing factors predicting outcome in vastly injured patients
Emmanuel Lilitsis, Sofia Xenaki, Elias Athanasakis, Eleftherios Papadakis, Pavlina Syrogianni, George Chalkiadakis, Emmanuel ChrysosJournal of Emergencies, Trauma, and Shock 2018 11(2):80-87 Trauma is one of the leading causes of death worldwide, with road traffic collisions, suicides, and homicides accounting for the majority of injury-related deaths. Since trauma mainly affects young age groups, it is recognized as a serious social and economic threat, as annually, almost 16,000 posttrauma individuals are expected to lose their lives and many more to end up disabled. The purpose of this research is to summarize current ...
Source: Journal of Emergencies, Trauma and Shock - May 29, 2018 Category: Emergency Medicine Authors: Emmanuel Lilitsis Sofia Xenaki Elias Athanasakis Eleftherios Papadakis Pavlina Syrogianni George Chalkiadakis Emmanuel Chrysos Source Type: research